Balancing Stakeholder Representation: An Example of Stakeholder Involvement in Ergonomics Standardization

Objectives: This article explains how the issue of stakeholder involvement was addressed in the European network for Health Technology Assessment (EUnetHTA) Project and describes the structures of future stakeholder involvement in the EUnetHTA Collaboration.Methods: Initiatives led to a dialogue with stakeholders and exchanging views and expectations on health technology assessment (HTA) processes and the future development of EUnetHTA. The methods of involving different stakeholder groups in EUnetHTA included general information to stakeholders about EUnetHTA, targeted information on a Web site, analysis of stakeholder opinions on HTA and EUnetHTA, and development of a draft stakeholder policy.Results: First steps were taken to organize processes to consolidate the legitimacy of EUnetHTA and its products and encourage the representation of interests, thus contributing to promoting the utilization of HTA in national/regional policy making. A stakeholder Web site, analyses of stakeholder opinions on HTA and EUnetHTA in a discussion topic catalog, and a draft stakeholder policy resulted from the work.Conclusions: Stakeholder involvement in EUnetHTA is necessary to ensure the legitimacy and prospects for utilization of EUnetHTA and its products. The described activities and results create the foundation for a continued dialogue with, and involvement of, stakeholders. The EUnetHTA stakeholder meeting can be considered as a successful experience of dialogue between EUnetHTA and stakeholders, which should be continued. Our experience shows the challenge of obtaining balanced stakeholder representation across the identified stakeholder groups. Continued attention should be given to achieving balanced stakeholder representation.

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A Research Perspective on Stakeholder Involvement in Radioactive Waste Management: State of the Art and Future Prospects

Revue Générale Nucléaire ◽

10.1051/rgn/20061173 ◽

2006 ◽

pp. 173-173

Author(s):

Gaston Meskens ◽

Erik Laes ◽

Gilbert Eggermont

Keyword(s):

Radioactive Waste ◽

Waste Management ◽

State Of The Art ◽

Stakeholder Involvement ◽

Future Prospects ◽

Radioactive Waste Management ◽

Research Perspective

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The EPA Guidance Project: Guidance for Mental Healthcare in Europe

Die Psychiatrie ◽

10.1055/s-0038-1669868 ◽

2015 ◽

Vol 12 (01) ◽

pp. 5-11

Author(s):

I. Großimlinghaus ◽

J. Zielasek ◽

W. Gaebel

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Graduate Training ◽

Action Plan ◽

Stakeholder Involvement ◽

Mental Healthcare ◽

World Health ◽

Post Graduate Training ◽

Health Organization

Summary Background: The development of guidelines is an important and common method to assure and improve quality in mental healthcare in European countries. While guidelines have to fulfill predefined criteria such as methodological accuracy of evidence retrieval and assessment, and stakeholder involvement, the development of guidance was not standardized yet. Aim: In 2008, the European Psychiatric Association (EPA) initiated the EPA Guidance project in order to provide guidance in the field of European psychiatry and related fields for topics that are not dealt with by guideline developers – for instance due to lack of evidence or lack of funding. The first three series of EPA Guidance deal with diverse topics that are relevant to European mental healthcare, such as quality assurance for mental health services, post-graduate training in mental healthcare, trust in mental health services and mental health promotion. Results: EPA Guidance recommendations address current and future challenges for European psychiatry. They are developed in accordance with the World Health Organization (WHO) European Mental Health Action Plan.

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Corporate Social Responsibility Implementation - Lessons from Uganda

Makerere Business Journal ◽

10.33117/512 ◽

2017 ◽

Vol 13 (1) ◽

pp. 47-69

Keyword(s):

Sustainable Development ◽

Corporate Social Responsibility ◽

Social Responsibility ◽

Stakeholder Involvement ◽

Implementation Process ◽

Structured Interviews ◽

Implementation Success ◽

Success Model ◽

Strategic Csr ◽

Corporate Social

Purpose: This paper presents aspects of a Corporate Social Responsibility (CSR) Implementation Success Model to guide CSR engagements. Design/methodology/approach: A qualitative case methodology is used to investigate two CSR companies in Uganda. Semi-structured interviews with managers and stakeholders are conducted. Data triangulation includes reviewing CSR reports and documents, and visiting communities and CSR activities/projects mentioned in the case companies’ reports. Grounded theory guides the data analysis and aggregation. Findings: The findings culminate into a “CSR Implementation Success Model. ” Key aspects of CSR implementation success are identified as: (i) involvement of stakeholders and management (i.e., co-production) at the start and during every stage of CSR implementation; (ii) management of challenges and conflicts arising within/outside of the company itself; and (iii) feedback management or performance assessment—i.e., accountability via CSR communications and reporting. Stakeholder involvement and feedback management (accountability) are pivotal, though all three must be considered equally. Research limitations: The studied companies were large and well-established mature companies, so it is unclear whether newer companies and small and medium-sized enterprises would produce similar findings. Practical implications: Successful CSR implementation starts with a common but strategic understanding of what CSR means to the company. However, CSR implementation should (i) yield benefits that are tangible, and (ii) have a sustainable development impact because these two aspects form implementation benchmarks. Additionally, top management should be involved in CSR implementation, but with clear reasons and means. Originality/value: This paper unearths a CSR Implementation Success Model that amplifies views of “creating shared value” for sustainable development. It guides organizations towards strategic CSR, as opposed to the responsive CSR (returning profits to society) that largely dominates in developing countries. Additionally, it explains how to add value to the resource envelope lubricating the entire CSR implementation process

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Involving Events as Cocreators of Destination Brand: The Case of South Savo Region

Event Management ◽

10.3727/152599519x15506259856075 ◽

2020 ◽

Vol 24 (2) ◽

pp. 375-387

Author(s):

Jenni Mikkonen ◽

Ira Lahovuo

Keyword(s):

Empirical Data ◽

Stakeholder Involvement ◽

Destination Branding ◽

Mega Events ◽

Semistructured Interviews ◽

Research Gap ◽

Sport Events ◽

Destination Brand ◽

Eastern Finland

Prior studies have recognized the importance of events in destination branding, but the focus has been on the roles of mega-events or sport events, while smaller cultural and freetime events have received far less attention. The stakeholder involvement in destination branding has also been attracting interest lately by many researchers, but there is lack of knowledge on how to utilize events in the branding processes. This study aims to fill the research gap through a case study in the South Savo region, eastern Finland. The purpose of this study is to examine the roles events have in destination branding, and how events are involved in cocreating the destination brand. The empirical data were collected through 13 semistructured interviews of event organizers and local tourism developers. The study identified four different roles and several involvement methods. The findings revealed the importance and potential of organized events in the branding, but it also revealed that they are not yet effectively utilized at the destination. However, there is a consensus about the importance of stakeholder involvement and a common will towards involving events in the branding process. The findings of this study can be utilized by tourism developers and stakeholders to improve destination branding processes.

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Values in Science and the Erosion of Trust

10.1093/oso/9780190869229.003.0009 ◽

2018 ◽

Author(s):

Inmaculada de Melo-Martín ◽

Kristen Intemann

Keyword(s):

Knowledge Production ◽

Social Values ◽

Stakeholder Involvement ◽

Negative Influence ◽

Political Agenda ◽

Values In Science ◽

Scientific Communities ◽

Alternative Strategies ◽

Political Values ◽

The Public

This chapter considers another factor that plays a role in eroding the public’s trust in science: concerns about the negative influence of nonepistemic values in science, particularly in controversial areas of inquiry with important effects on public policy. It shows that the credibility of scientists can be undermined when the public perceives that scientists have a political agenda or will be biased by their own personal or political values. However, to assume that the best way to address this problem is try to eliminate such values from science altogether would be a mistake. Ethical and social values are necessary and important to knowledge production. Consequently, the chapter explores alternative strategies to increase transparency and stakeholder involvement so as to address legitimate concerns about bias and sustain warranted trust in scientific communities.

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Evaluation of clinical practice guidelines (CPG) on the management of female chronic pelvic pain (CPP) using the AGREE II instrument

International Urogynecology Journal ◽

10.1007/s00192-021-04848-1 ◽

2021 ◽

Author(s):

Vishalli Ghai ◽

Venkatesh Subramanian ◽

Haider Jan ◽

Jemina Loganathan ◽

Stergios K. Doumouchtsis ◽

...

Keyword(s):

Surgical Management ◽

Guideline Development ◽

Stakeholder Involvement ◽

Professional Organizations ◽

Agree Ii ◽

Behavioural Interventions ◽

Recommended Treatment ◽

Muscular Dysfunction ◽

Health Related

Abstract Introduction and hypothesis Variations in guidelines may result in differences in treatments and potentially poorer health-related outcomes. We aimed to systematically review and evaluate the quality of national and international guidelines and create an inventory of CPG recommendations on CPP. Methods We searched EMBASE and MEDLINE databases from inception till August 2020 as well as websites of professional organizations and societies. We selected national and international CPGs reporting on the diagnosis and management of female CPP. We included six CPGs. Five researchers independently assessed the quality of included guidelines using the AGREE II tool and extracted recommendations. Results Two hundred thirty-two recommendations were recorded and grouped into six categories: diagnosis, medical treatment, surgical management, behavioural interventions, complementary/alternative therapies and education/research. Thirty-nine (17.11%) recommendations were comparable including: a comprehensive pain history, a multi-disciplinary approach, attributing muscular dysfunction as a cause of CPP and an assessment of quality of life. Two guidelines acknowledged sexual dysfunction associated with CPP and recommended treatment with pelvic floor exercises and behavioural interventions. All guidelines recommended surgical management; however, there was no consensus regarding adhesiolysis, bilateral salpingo-oophorectomy during hysterectomy, neurectomy and laparoscopic uterosacral nerve ablation. Half of recommendations (106, 46.49%) were unreferenced or made in absence of good-quality evidence or supported by expert opinion. Based on the AGREE II assessment, two guidelines were graded as high quality and recommended without modifications (EAU and RCOG). Guidelines performed poorly in the “Applicability”, “Editorial Independence” and “Stakeholder Involvement” domains. Conclusion Majority of guidelines were of moderate quality with significant variation in recommendations and quality of guideline development.

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Managing sustainability risks of bioenergy in four Nordic countries

Energy Sustainability and Society ◽

10.1186/s13705-021-00290-9 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Anders Chr. Hansen ◽

Nicholas Clarke ◽

Atle Wehn Hegnes

Keyword(s):

Resource Competition ◽

Local Level ◽

Stakeholder Involvement ◽

Local Communities ◽

Carbon Pools ◽

Energy Technologies ◽

Agents Of Change ◽

Local Actors ◽

Government Planning ◽

High Degree

Abstract Background Bioenergy plays a key role in the transition to a sustainable economy in Europe, but its own sustainability is being questioned. We study the experiences of Sweden, Finland, Denmark and Norway, to find out whether the forest-based bioenergy chains developed in the four countries have led to unsustainable outcomes and how the countries manage the sustainability risks. Data were collected from a diversity of sources including interviews, statistical databases, the scientific literature, government planning documents and legislation. Results Sustainability risks of deforestation, degradation of forests, reduced carbon pools in forests, expensive biopower and heat, resource competition, and lack of acceptance at the local level are considered. The experience of the four countries shows that the sustainability risks can to a high degree be managed with voluntary measures without resorting to prescriptive measures. It is possible to add to the carbon pools of forests along with higher harvest volumes if the risks are well managed. There is, however, a marginal trade-off between harvest volume and carbon pools. Economic sustainability risks may be more challenging than ecological risks because the competitiveness order of renewable energy technologies has been reversed in the last decade. The risk of resource competition harming other sectors in the economy was found to be small and manageable but requires continuous monitoring. Local communities acting as bioenergy communities have been agents of change behind the most expansive bioenergy chains. A fear of non-local actors reaping the economic gains involved in bioenergy chains was found to be one of the risks to the trust and acceptance necessary for local communities to act as bioenergy communities. Conclusions The Nordic experience shows that it has been possible to manage the sustainability risks examined in this paper to an extent avoiding unsustainable outcomes. Sustainability risks have been managed by developing an institutional framework involving laws, regulations, standards and community commitments. Particularly on the local level, bioenergy chains should be developed with stakeholder involvement in development and use, in order to safeguard the legitimacy of bioenergy development and reconcile tensions between the global quest for a climate neutral economy and the local quest for an economically viable community.

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EAU, AUA and NICE Guidelines on Surgical and Minimally Invasive Treatment of Benign Prostate Hyperplasia: A Critical Appraisal of the Guidelines Using the AGREE-II Tool

Urologia Internationalis ◽

10.1159/000517675 ◽

2021 ◽

pp. 1-10

Author(s):

Dmitry Enikeev ◽

Vincent Misrai ◽

Enrique Rijo ◽

Roman Sukhanov ◽

Denis Chinenov ◽

...

Keyword(s):

Minimally Invasive ◽

Treatment Options ◽

Stakeholder Involvement ◽

Minimally Invasive Treatment ◽

Invasive Treatment ◽

Agree Ii ◽

Prostate Hyperplasia ◽

Assessment Score ◽

Nice Guideline ◽

Agree Ii Tool

Objective: To critically appraise the methodological rigour of the clinical practice guidelines (CPGs) vis-à-vis BPH surgery as used by specialist research associations in the US, Europe and UK, and to compare whether the guidelines cover all or only some of the available treatments. Methods: The current guidelines issued by the EUA, AUA and NICE associations have been analyzed by 4 appraisers using the AGREE-II instrument. We also compared the recommendations given in the guidelines for surgical and minimally invasive treatment to find out which of these CPGs include most of the available treatment options. Results: According to the AGREE II tool, the median scores of domains were: domain 1 scope and purpose 66.7%, domain 2 stakeholder involvement 50.0%, domain 3 rigor of development 65.1%, domain 4 clarity of presentation 80.6%, domain 5 applicability 33.3%, domain 6 editorial independence 72.9%. The overall assessment according to AGREE II is 83.3%. The NICE guideline scored highest on 5 out of 6 domains and the highest overall assessment score (91.6%). The EAU guideline scored lowest on 4 out of 6 domains and has the lowest overall assessment score (79.1%). Conclusions: The analyzed CPGs comprehensively highlight the minimally invasive and surgical treatment options for BPH. According to the AGREE II tool, the domains for clarity of presentation and editorial independence received the highest scores. The stakeholder involvement and applicability domains were ranked as the lowest. Improving the CPG in these domains may help to improve the clinical utility and applicability of CPGs.

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